Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: <ul> <li>Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office!</li> <li>Medical, Dental, and Vision Insurance.</li> <li>403B Savings Plan w/employer contribution.</li> <li>Paid Time off & Paid holidays.</li> <li>Employee and Dependent Tuition assistance benefits.</li> <li>Health and wellness programs and MORE!</li> </ul> As the Business Analyst-Pharmacy (Pharmacy Operations Oversight Specialist), you'll: <ul> <li>Contributes to the development and implementation of oversight, monitoring, and audit plan related to JHHP pharmacy vendors and other contracted entities <ul> <li>Develop corrective action plans for areas that are not meeting contractual and regulatory requirements </li><li>Create, maintain, and deliver oversight reports and program updates to pharmacy and compliance leadership teams</li> <li>Design oversight programs to achieve desired results, target areas of risk, and mitigate compliance vulnerability for the health plan.</li> <li>Support program development of Clinical Pharmacy Programs, manage databases and develop communications to members and providers.</li> <li>Responsible for analyzing data specific to Medicaid, NCQA, and TRICARE regulatory submissions and providing critical feedback to the plan prior to submission</li> <li>Monitor key performance indicators in clinical, operational, and vendor management areas to proactively inform leadership and departmental business owners of possible risks and issues</li> </ul> What you'll bring: <ul> <li>3+ years of experience in a managed care, business, or healthcare environment, with demonstrated experience in data analysis, reporting, and project management. <ul> <li>Prior PBM experience strongly preferred. </li><li>Associates degree or higher required. </li> <li>Demonstrated proficiency with either SAS or SQL including ability to write queries based on business need is a plus</li> <li>CPhT preferred</li> </ul> Who we are: Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth. Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.</li></ul></li></ul>

<ul class="sub-buttons"><li class="apply-button">Apply </li><li>Refer a Friend </li><li>Back </li> </ul>Share This Page <ul><li>Share on Facebook </li><li>Share on Twitter </li><li>Share on LinkedIn </li><li>Share via Email </li> </ul>Job Details Requisition #: 640235 Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Pharmacy Schedule: Day Shift Employment Type: Full Time Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: <ul><li>Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office! </li><li>Medical, Dental, and Vision Insurance. </li><li>403B Savings Plan w/employer contribution. </li><li>Paid Time off & Paid holidays. </li><li>Employee and Dependent Tuition assistance benefits. </li><li>Health and wellness programs and MORE! </li> </ul>As the Business Analyst-Pharmacy (Pharmacy Operations Oversight Specialist), you'll: <ul><li>Contributes to the development and implementation of oversight, monitoring, and audit plan related to JHHP pharmacy vendors and other contracted entities <ul><li>Develop corrective action plans for areas that are not meeting contractual and regulatory requirements </li> </ul></li><li>Create, maintain, and deliver oversight reports and program updates to pharmacy and compliance leadership teams </li><li>Design oversight programs to achieve desired results, target areas of risk, and mitigate compliance vulnerability for the health plan. </li><li>Support program development of Clinical Pharmacy Programs, manage databases and develop communications to members and providers. </li><li>Responsible for analyzing data specific to Medicaid, NCQA, and TRICARE regulatory submissions and providing critical feedback to the plan prior to submission </li><li>Monitor key performance indicators in clinical, operational, and vendor management areas to proactively inform leadership and departmental business owners of possible risks and issues </li> </ul>What you'll bring: <ul><li>3+ years of experience in a managed care, business, or healthcare environment, with demonstrated experience in data analysis, reporting, and project management. <ul><li>Prior PBM experience strongly preferred. </li> </ul> </li><li>Associates degree or higher required. </li><li>Demonstrated proficiency with either SAS or SQL including ability to write queries based on business need is a plus </li><li>CPhT preferred </li> </ul>Who we are: Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth. Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Apply

JR133260 Business Analyst Responsible for assisting with the translation of business needs into application software requirements. Location: This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations. How will you make an impact: Participates in developing and/or modifying requirements, business design specifications, user training, and documentation. Researches and documents business issues. Translates business requirements to technical staff to ensure that requirements are incorporated into system design. Tests and documents solutions. Serves as liaison between users of the software and technical staff. Minimum requirements: Requires a HS diploma or equivalent and minimum of 5 years related health care experience that includes workflow design, data analysis, and/or systems automation and testing; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: BA/BS degree preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupportelevancehealth.com for assistance.

JR133260 Business Analyst

Responsible for assisting with the translation of business needs into application software requirements.

Location: This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations.

How will you make an impact:

Participates in developing and/or modifying requirements, business design specifications, user training, and documentation.

Researches and documents business issues.

Translates business requirements to technical staff to ensure that requirements are incorporated into system design.

Tests and documents solutions.

Serves as liaison between users of the software and technical staff.

Minimum requirements:

Requires a HS diploma or equivalent and minimum of 5 years related health care experience that includes workflow design, data analysis, and/or systems automation and testing; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

BA/BS degree preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Overview Job Summary: The Business Analyst I (BA)is a key member of Allegis Group's EVOLVE business process transformation initiative partnering with Business Process Owners (BPO), Product Owner, Delivery teams and Subject Matter Experts. The Business Analyst will support digital transformation of Procure to Pay and Accounts Receivable with the focus on technology and process standardization and improved contractor/client/employee experience. The Business Analyst is responsible for identifying and gathering business requirements needed to support Global Design build and deployment. This role will participate in working sessions with business stakeholders to help determine business process and functionality gaps and identify opportunities for alignment. The BA will perform also ad hoc data collection and analysis deemed necessary to help support decision-making. Additionally, The Business Analyst should have experience evaluating business processes, project progress, data analysis, identifying issues and solutions, preparing business process documentation, strong attention to detail and communication skills. Responsibilities Essential Functions: Identify and communicate with key stakeholders Partners closely with Business Process Owner, Product Owner and Subject Matter Experts to identify business requirements needed to support global design build and implementation. Clear understanding of the Evolve Product Vision, Roadmap and impacts for the enterprise. Coordinate with departmental teams to produce better business outcomes Analyze pertinent PeopleSoft and boundary system metrics and data to support decision making Participate in working sessions with product team, external consultants and/or business stakeholders to identify gaps, collect and capture business process requirements and document decisions Write clear and well-structured business requirements and documentation Test business processes and recommend improvements Assess options for process improvement, including business process modeling Develop, maintain, and deliver critical recurring and ad hoc reporting to internal customers and external implementation partners. Research and evaluate industry standard best practices for aligned value stream processes Support discovery and innovation opportunities within aligned value stream Act as change agent to drive adoption and provide business support for newly released features and capabilities. Understand, engage, and support Agile methodologies and roles. Qualifications Minimum Education and/or Experience: BS/BA degree in related field and/or comparable industry, or related work experience Back Office and/or financial operations in staffing and/or services preferred +2 years of related analyst experience Skills/Abilities: Ability to communicate with key stakeholders effectively and concisely Verbal and written communication skills to convey ideas, facts, propose strategies for requirements, process improvements and operational decisions Proficiency in data analysis tool and techniques Familiarity with enterprise resource planning systems (ERP) Experience testing and mapping various business processes and protocols Possesses strong depth of knowledge and history with the business to ask the right questions to help the identify solutions. Ability to deliver informative and demonstrative presentations Analytical and critical thinking Quality control and detailed oriented Troubleshooting and ability to resolves issues Self-starter and independent learner Organizational Change Agent Ability to navigate ambiguity Agile mindset defined by values and principles Core Competencies: Build relationships Develop people Lead change Inspire Others Think critically Communicate clearly Create Accountability Benefits Overview: Benefits are subject to change and may be subject to specific elections, plan, or program terms. This role is eligible for the following: o Medical, dental & vision o Hospital plans o 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available o Life Insurance (Company paid Basic Life and AD&D as well as voluntary Life & AD&D for the employee and dependents) o Company paid Short and long-term disability o Health & Dependent Care Spending Accounts (HSA & DCFSA) o Transportation benefits o Employee Assistance Program o Tuition Assistance o Time Off/Leave (PTO, Allegis Group Paid Family Leave, Parental Leave) Salary Range: $67,800 - $101,800 The position is bonus eligible In-Office Requirement: Required in-office presence at least 4 days per week

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: <ul> <li>Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office!</li> <li>Medical, Dental, and Vision Insurance.</li> <li>403B Savings Plan w/employer contribution.</li> <li>Paid Time off & Paid holidays.</li> <li>Employee and Dependent Tuition assistance benefits.</li> <li>Health and wellness programs and MORE!</li></ul> As the Workforce Management Business Analyst, you'll: <ul> <li>Ensure the Contact Centers are staffed accurately to handle call handling goals, coordinate staffing requirements, evaluating Contact Center real-time performance including monitoring and tracking of unplanned and planned interruptions</li> <li>Responsible for call volume forecasts and service level performance for all Lines of Business and scheduling of 130+ call center agents. </li> <li>Develop strategies utilizing the WFM tools such as Community WFM and Avaya to ensure optimal skilling and shrinkage utilization to meet service level objectives for all lines of business</li> <li>Run, prepare, and analyze reports within the department</li> <li>Identify process improvements to present to management</li> <li>Serve as a resource for the reporting team to ensure that operational key performance indicators are achieved</li> <li>Execute workforce optimization strategy, staffing scheduling, and daily performance through real-time monitoring and oversight of activities</li> <li>Enter detailed data into workforce tools and applications to monitor the productivity of the call center agents to ensure service levels are met.</li> <li>Review past data, to provide forecasted workload, changes, assumption and inputs, along with solutions-oriented support for the team and provide insight to allow the management team to make staffing decisions.</li></ul> What you'll bring: <ul> <li>5+ years' call center work experience and workforce management experience in an inbound call center. <ul> <li>3+ years' working with report creation and data manipulation highly preferred. </li> </ul> </li> <li>Advanced Excel experience required.</li> <li>1+ years' SQL experience preferred</li> <li>Experience using workforce management software, telecommunication or other call center systems (e.g., Community, Five9, Avaya CMS, IEX Totalview, Aspect Ewfm, Verint). </li> <li>Ability to integrate and balance priorities, work activities and resources for the benefit of multiple key stakeholders</li></ul> Who we are: Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth. Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

<div><a>Johns Hopkins Health Plans</a> is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: <ul> <li>Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD office!</li> <li>Medical, Dental, and Vision Insurance.</li> <li>403B Savings Plan w/employer contribution.</li> <li>Paid Time off & Paid holidays.</li> <li>Employee and Dependent Tuition assistance benefits.</li> <li>Health and wellness programs and MORE!</li> </ul> As the Business Analyst-Pharmacy (Pharmacy Operations Oversight Specialist), youll: <ul> <li>Contributes to the development and implementation of oversight, monitoring, and audit plan related to JHHP pharmacy vendors and other contracted entities <ul> <li>Develop corrective action plans for areas that are not meeting contractual and regulatory requirements</li> </ul> </li> <li>Create, maintain, and deliver oversight reports and program updates to pharmacy and compliance leadership teams</li> <li>Design oversight programs to achieve desired results, target areas of risk, and mitigate compliance vulnerability for the health plan.</li> <li>Support program development of Clinical Pharmacy Programs, manage databases and develop communications to members and providers.</li> <li>Responsible for analyzing data specific to Medicaid, NCQA, and TRICARE regulatory submissions and providing critical feedback to the plan prior to submission</li> <li>Monitor key performance indicators in clinical, operational, and vendor management areas to proactively inform leadership and departmental business owners of possible risks and issues</li> </ul> What youll bring: <ul> <li>3+ years of experience in a managed care, business, or healthcare environment, with demonstrated experience in data analysis, reporting, and project management. <ul> <li>Prior PBM experience strongly preferred.</li> </ul> </li> <li>Bachelors degree in Business Management, Healthcare Administration, or related discipline required. </li> <li>Demonstrated proficiency with either SAS or SQL including ability to write queries based on business need is a plus</li> <li>CPhT preferred</li> </ul> Who we are: Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP is a leader in provider-sponsored health plans and is poised for future growth. Many organizations talk about transforming the future of healthcare, at Johns Hopkins Health Plans, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. <table> <tbody> <tr> </tr> </tbody> </table> <table> <tbody> <tr> </tr> </tbody> </table> <table> <tbody> <tr> </tr> </tbody> </table> Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers. </div>

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